Dan Izhaky

Buried on page 41985 of this month’s Federal Register: the question I’ve waited six years for Medicare to ask. Should hospitals get paid more for buying American-made PPE? CMS says yes — a nickel a glove, 82¢ a gown, 38¢ a respirator. I built one of the plants this is meant to save. Here’s what the math still misses 🧵 linkedin.com/pulse/nickel-a-…

I've followed nitrile reshoring since the pandemic chaos. Here's what nobody tells you: Beyond healthcare, nitrile gloves are the hidden choke point for America's reindustrialization—semiconductors, batteries, rare earths, explosives all require them. A $0.03 glove shortage could stall billions in domestic factory output. Domestic manufacturing = real economic security in 2026.

NIOSH just got serious: ✅ Respirator approvals now 35% faster (100→65 days) ✅ 528 new certifications in 2025 ✅ 4,163 counterfeit listings investigated ✅ 189 fake products removed from marketplaces Good news for legit manufacturers. Bad news for the fakes.

1/ America still imports 90% of its PPE. Gloves, masks, gowns—all made overseas. That’s not a supply chain. That’s a vulnerability. 🧵 2/ During COVID, we learned how quickly the world can cut us off. Hospitals ran out of gloves. Doctors reused masks. We had no control—and no backup plan. 3/ That can’t happen again. We need to ask: Do foreign PPE imports threaten U.S. national security? If so, the solution is on the books: 👉 Section 232 4/ Section 232 lets the federal government investigate whether specific imports undermine national security. If they do, it allows for tariffs, quotas, or other trade action. 5/ Past 232 investigations: ✔️ Steel ✔️ Aluminum ✔️ Uranium ✔️ Semiconductors So why not PPE? 6/ A 232 investigation on PPE would: ✅ Map foreign dependencies ✅ Highlight labor and trade abuses ✅ Support U.S. producers ✅ Prepare America for the next crisis 7/ This isn’t about isolation. It’s about independence. We can’t protect Americans with supply chains we don’t control. 8/ As President of @AMMA_USA, I’m recommending the Trump administration evaluate a Section 232 investigation on PPE. We have the tools. The evidence is there. Let’s secure America’s medical supply chain—for good. #Section232 #ReshorePPE #TrumpAdministration #MadeInUSA #MedicalManufacturing #NationalSecurity #AMMA